| NPI | 1184899569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL 60318416) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 0355415) |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2012-12-10 |