| NPI | 1366818494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: 14082738) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WY SP-873) |
| 235Z00000X Speech-Language Pathologist, (Licence: ID SLP-3036) | |
| Enumeration Date | 2015-08-12 |
| Last Update Date | 2018-10-26 |