| NPI | 1861736548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0001428) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA LL60238600) |
| Enumeration Date | 2012-11-19 |
| Last Update Date | 2024-02-19 |