| NPI | 1447629399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2017018728) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA LL60848174) |
| 235Z00000X Speech-Language Pathologist, (Licence: TN 5475) | |
| Enumeration Date | 2015-09-22 |
| Last Update Date | 2018-07-26 |