| NPI | 1790848802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WY SP-732) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WI 2853) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2018-06-29 |