| NPI | 1902336720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL60966529) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 76518-SP-SL) |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2021-05-04 |