| NPI | 1053743609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL60943465) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ tslp8474) |
| Enumeration Date | 2013-08-06 |
| Last Update Date | 2023-05-25 |