| NPI | 1053539551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 12649) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA LL00004101) |
| 235Z00000X Speech-Language Pathologist, (Licence: CA SP4473) | |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2007-07-08 |