| NPI | 1174817274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL60632599) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: CA 1526) | |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2018-09-20 |