| NPI | 1700153152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 015522) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA LL60239057) |
| Enumeration Date | 2011-11-29 |
| Last Update Date | 2022-04-01 |