| NPI | 1962063727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA 61023974) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP11175) |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2022-12-20 |