| NPI | 1447419429 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL60150369) | 
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NV SP1116) | 
| 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP15667) | |
| Enumeration Date | 2008-06-05 | 
| Last Update Date | 2024-10-01 |