| NPI | 1497132906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 15125) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA LL 60537627) |
| Enumeration Date | 2015-05-04 |
| Last Update Date | 2015-05-04 |