| NPI | 1376386185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 14259626) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OR 015862) |
| Enumeration Date | 2024-06-18 |
| Last Update Date | 2024-06-18 |