| NPI | 1932754306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL61455027) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2020019040) |
| Enumeration Date | 2019-08-02 |
| Last Update Date | 2023-08-15 |