| NPI | 1033653225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 15817) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA 010476) |
| Enumeration Date | 2016-12-07 |
| Last Update Date | 2020-10-02 |