| NPI | 1194167478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 15094) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OR 015094) |
| Enumeration Date | 2013-07-26 |
| Last Update Date | 2024-05-03 |