| NPI | 1124641147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL61469325) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 09546) |
| 235Z00000X Speech-Language Pathologist, (Licence: OR 17651) | |
| Enumeration Date | 2020-05-26 |
| Last Update Date | 2023-10-24 |