| NPI | 1083004196 |
|---|---|
| Former Name | DARCY ANNABELLE BASQUE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 15467) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA LL 60520987) |
| Enumeration Date | 2015-01-27 |
| Last Update Date | 2024-03-15 |