| NPI | 1083965578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL60071766) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 13857) |
| Enumeration Date | 2012-09-25 |
| Last Update Date | 2012-09-25 |