| NPI | 1023082286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL60201290) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202004899) |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2021-06-30 |