| NPI | 1750603320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 016067) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L6713) |
| Enumeration Date | 2010-02-23 |
| Last Update Date | 2018-02-09 |