| NPI | 1083099246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL61049201) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: LA 7437) |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2022-03-04 |