| NPI | 1538675392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL60671043) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AL 2000) |
| 235Z00000X Speech-Language Pathologist, (Licence: MA 76405) | |
| Enumeration Date | 2017-12-15 |
| Last Update Date | 2018-03-17 |