| NPI | 1679093710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 015775) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA SLP.LL.60770092) |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2017-06-20 |