| NPI | 1053664441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 016169) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP007957) |
| Enumeration Date | 2012-10-23 |
| Last Update Date | 2020-10-02 |