| NPI | 1174952519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL 60178004) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ID SLP-2495) |
| Enumeration Date | 2013-11-06 |
| Last Update Date | 2013-11-06 |