| NPI | 1194037234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 013342) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA LL 60329377) |
| Enumeration Date | 2010-07-06 |
| Last Update Date | 2015-07-03 |