| NPI | 1568699791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 17461) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IA 00797) |
| Enumeration Date | 2009-06-15 |
| Last Update Date | 2022-09-20 |