| NPI | 1942407754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM SLP7489) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA LL00004544) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2021-09-22 |