| NPI | 1659048940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WY SP-1244) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WY CFY-1244) |
| Enumeration Date | 2021-08-25 |
| Last Update Date | 2022-06-30 |