| NPI | 1164728077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: WA LL60446754) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: NC 9235) |
| Enumeration Date | 2011-02-10 |
| Last Update Date | 2022-06-20 |