| NPI | 1780283648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 015912) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: 14130162) |
| 235Z00000X Speech-Language Pathologist, (Licence: ID SLP-4234) | |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2020-10-21 |