| 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) | 
| 235Z00000X Speech-Language Pathologist, (Licence: CA 31789) | |
| Enumeration Date | 2011-02-15 | 
| Last Update Date | 2025-03-25 |