| NPI | 1760864078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 15420) |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2015-06-23 |
| Last Update Date | 2018-10-02 |