| NPI | 1699130898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AK 113049) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA LL60619096) |
| Enumeration Date | 2015-12-15 |
| Last Update Date | 2022-02-18 |