| NPI | 1992109490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP14272) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NE 1796) |
| 235Z00000X Speech-Language Pathologist, (Licence: NE 444) | |
| Enumeration Date | 2014-10-14 |
| Last Update Date | 2023-10-31 |