| NPI | 1528297223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NE 1981) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA LL 60143441) |
| 235Z00000X Speech-Language Pathologist, (Licence: MO 2007036217) | |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2018-03-17 |