| NPI | 1093065187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL60389612) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA SI60298646) |
| Enumeration Date | 2012-09-15 |
| Last Update Date | 2013-10-31 |