| NPI | 1164818902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SP28490) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA SLPI.SI.60498365) |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2019-04-24 |