| NPI | 1962944413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 17071) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA 520632A) |
| Enumeration Date | 2016-11-15 |
| Last Update Date | 2022-09-21 |