| NPI | 1477944247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 60582025) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA 60487840) |
| Enumeration Date | 2015-02-13 |
| Last Update Date | 2021-12-17 |