| NPI | 1104910892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 12130) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA LL00003458) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2022-01-11 |