| NPI | 1528490471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 13527) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA LL60301046) |
| Enumeration Date | 2013-08-02 |
| Last Update Date | 2022-07-22 |