| NPI | 1053663245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 17434) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA LL60314233) |
| Enumeration Date | 2012-10-11 |
| Last Update Date | 2024-03-18 |