| NPI | 1205124211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL60601617) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 106150) |
| 235Z00000X Speech-Language Pathologist, (Licence: MO 2011015506) | |
| Enumeration Date | 2011-07-12 |
| Last Update Date | 2018-06-16 |