| NPI | 1164753224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 15108) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA 00003668) |
| Enumeration Date | 2010-01-28 |
| Last Update Date | 2016-12-06 |