| NPI | 1770830002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA 60318904) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OR 13648) |
| 235Z00000X Speech-Language Pathologist, (Licence: NC 9927) | |
| Enumeration Date | 2012-08-06 |
| Last Update Date | 2017-01-27 |