| NPI | 1023531183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ID TSLP3225) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA SLP.LL.60909657) |
| Enumeration Date | 2017-07-20 |
| Last Update Date | 2026-04-30 |