| NPI | 1124219027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL 60032276) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OR 12918) |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2022-03-12 |