| NPI | 1780251421 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist,   (Licence: 14286936)  | 
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist,   (Licence: WA LL61190024)  | 
| 235Z00000X Speech-Language Pathologist,   (Licence: IN 22008170A)  | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2021-06-10 | 
| Last Update Date | 2022-07-28 |