| NPI | 1417387630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY 283689) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA SI60424756) |
| 235Z00000X Speech-Language Pathologist, (Licence: WA LL60512376) | |
| Enumeration Date | 2013-11-25 |
| Last Update Date | 2023-07-25 |