| NPI | 1053733352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 15095) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA LL60389522) |
| Enumeration Date | 2014-01-06 |
| Last Update Date | 2017-02-20 |