| NPI | 1336557693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 015328) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OR 14066613) |
| Enumeration Date | 2014-07-30 |
| Last Update Date | 2024-03-20 |