| NPI | 1568609295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 09228) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 01522L) |
| 235Z00000X Speech-Language Pathologist, (Licence: WA LL00004776) | |
| Enumeration Date | 2009-01-16 |
| Last Update Date | 2021-09-02 |