| NPI | 1063573350 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, | 
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA LL00004356) | 
| 235Z00000X Speech-Language Pathologist, (Licence: FL 18789) | |
| Enumeration Date | 2006-12-12 | 
| Last Update Date | 2021-03-23 |