| NPI | 1639399637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL60546068) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: UT 5751434-4102) |
| 235Z00000X Speech-Language Pathologist, (Licence: NM 4630) | |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2023-08-15 |