| NPI | 1205130366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL60275170) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ 5297) |
| Enumeration Date | 2011-01-04 |
| Last Update Date | 2019-08-17 |