| NPI | 1174720320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA ll00003981) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ID SLP-1108) |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2007-07-08 |