| NPI | 1760786438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: OR 18311) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 14579) |
| Enumeration Date | 2011-01-10 |
| Last Update Date | 2024-09-05 |