| NPI | 1982891008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AK SLPS487) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA LL00004715) |
| 235Z00000X Speech-Language Pathologist, (Licence: MT SLP-SP-LIC-1269) | |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2017-02-28 |