| NPI | 1992176713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: AZ SLP13644) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: WA LL 60151632) |
| Enumeration Date | 2015-10-20 |
| Last Update Date | 2024-08-05 |