| NPI | 1538466271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: AZ SLP7146) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: WA LL60043931) |
| Enumeration Date | 2011-02-15 |
| Last Update Date | 2011-02-15 |