| NPI | 1114300399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AK 266) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA LL00003123) |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2015-07-07 |