| NPI | 1972224277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 7620) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA 61341485) |
| Enumeration Date | 2022-09-06 |
| Last Update Date | 2024-04-11 |