| NPI | 1134265374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL60107089) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NE 126) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2012-09-26 |