| NPI | 1013280478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0005673) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA LL00002873) |
| Enumeration Date | 2012-02-15 |
| Last Update Date | 2025-11-11 |