| NPI | 1174949564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0003764) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA ll60447925) |
| Enumeration Date | 2014-03-10 |
| Last Update Date | 2019-12-03 |