| NPI | 1467612275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 11858) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 7569) |
| 235Z00000X Speech-Language Pathologist, (Licence: WA LL 00004279) | |
| 235Z00000X Speech-Language Pathologist, (Licence: SC 4197) | |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2009-09-02 |