| NPI | 1184012882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL60987847) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP008739) |
| Enumeration Date | 2015-01-03 |
| Last Update Date | 2023-02-15 |