| NPI | 1033674056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WY SP-521) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: 14036040) |
| Enumeration Date | 2019-02-04 |
| Last Update Date | 2019-02-04 |