| NPI | 1770026890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: 015679) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OR 15679) |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2024-05-22 |