| NPI | 1639517931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL60856228) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP8355) |
| 235Z00000X Speech-Language Pathologist, (Licence: NY 025055) | |
| Enumeration Date | 2013-06-07 |
| Last Update Date | 2018-08-09 |