| NPI | 1770703183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP1546) |
| 235Z00000X Speech-Language Pathologist, (Licence: WA 61229205) | |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2022-04-24 |