| NPI | 1124545777 |
|---|---|
| Former Name | SAMANTHA M. MOODY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL60898338) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2017-08-24 |
| Last Update Date | 2025-02-07 |