| NPI | 1477936573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL 60672732) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 07229) |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2024-03-06 |