| NPI | 1427207562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 10070) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA ll00003481) |
| Enumeration Date | 2008-09-12 |
| Last Update Date | 2022-08-11 |