| NPI | 1275877078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2006016368) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA 488657H) |
| Enumeration Date | 2012-11-16 |
| Last Update Date | 2019-10-02 |