| NPI | 1154891117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL60919522) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 23145) |
| Enumeration Date | 2018-12-03 |
| Last Update Date | 2019-02-18 |