| NPI | 1982805297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP6507) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ 6507) |
| 235Z00000X Speech-Language Pathologist, (Licence: AZ SLPL5016) | |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2023-04-03 |