| NPI | 1417478728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL60644187) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IN 22006436A) |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2019-08-08 |