| NPI | 1821475278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP9147) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OR 15137) |
| 235Z00000X Speech-Language Pathologist, (Licence: WA LL 60543067) | |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2015-05-05 |