| NPI | 1871049940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 016587) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WI 4357 - 154) |
| Enumeration Date | 2016-08-29 |
| Last Update Date | 2026-03-24 |