| NPI | 1275907271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 14096389) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OR 015683) |
| Enumeration Date | 2015-11-14 |
| Last Update Date | 2015-11-14 |