| NPI | 1053524173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: WA LL60324864) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA00006054) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2013-01-16 |