| NPI | 1831563634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL 60588845) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AR SP 3727) |
| 235Z00000X Speech-Language Pathologist, (Licence: NV SP 1243) | |
| Enumeration Date | 2015-11-17 |
| Last Update Date | 2015-11-17 |