| NPI | 1710382882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 15364) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA LL60491167) |
| Enumeration Date | 2014-10-30 |
| Last Update Date | 2014-10-30 |