| NPI | 1164905444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OK 5023) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA 60884892) |
| 235Z00000X Speech-Language Pathologist, (Licence: CA 28473) | |
| Enumeration Date | 2018-09-12 |
| Last Update Date | 2025-03-04 |