| NPI | 1861574733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL60515107) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 101066) |
| 235Z00000X Speech-Language Pathologist, (Licence: OR 015205) | |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2024-05-22 |