| NPI | 1396007639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SP 19834) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA 60540089) |
| 235Z00000X Speech-Language Pathologist, (Licence: OR 516385B) | |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2015-12-30 |