| NPI | 1174993695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL60188187) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 118933) |
| Enumeration Date | 2015-09-26 |
| Last Update Date | 2023-09-15 |