| NPI | 1083852388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: WA SI60066569) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: WA LL60066568) |
| Enumeration Date | 2009-01-26 |
| Last Update Date | 2009-01-26 |