| NPI | 1760783831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 13421) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA LL60250790) |
| 235Z00000X Speech-Language Pathologist, (Licence: ME SP2785) | |
| Enumeration Date | 2010-11-05 |
| Last Update Date | 2018-05-08 |