| NPI | 1942780531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 016467) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA 61022534) |
| 235Z00000X Speech-Language Pathologist, (Licence: CA 26313) | |
| Enumeration Date | 2018-08-14 |
| Last Update Date | 2020-08-07 |