| NPI | 1114123809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: ID SLP-3062) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: WA LL00003359) |
| 235Z00000X Speech-Language Pathologist (Licence: HI SP1120) | |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2020-03-27 |