| NPI | 1831719392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL61121738) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146015127) |
| Enumeration Date | 2020-04-24 |
| Last Update Date | 2021-03-26 |