| NPI | 1073864401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL60422174) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA SI60312294) |
| Enumeration Date | 2012-09-25 |
| Last Update Date | 2020-08-20 |