| NPI | 1104298793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL60634848) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA 521744C) |
| Enumeration Date | 2015-10-22 |
| Last Update Date | 2016-03-28 |