| NPI | 1083762439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 12388) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA LL00003971) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2007-12-20 |