| NPI | 1639790157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: WA 61243299) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist |
| 235Z00000X Speech-Language Pathologist (Licence: CA 31656) | |
| Enumeration Date | 2020-05-06 |
| Last Update Date | 2023-05-15 |