| NPI | 1144579434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA 483694F) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA 60303857) |
| Enumeration Date | 2012-09-03 |
| Last Update Date | 2012-09-03 |