| NPI | 1649655275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL61488464) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ 4760924) |
| 235Z00000X Speech-Language Pathologist, (Licence: AZ TSLP9449) | |
| Enumeration Date | 2015-07-24 |
| Last Update Date | 2023-10-12 |