| NPI | 1205268950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: WA LL60488491) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: NM C5357) |
| Enumeration Date | 2013-08-05 |
| Last Update Date | 2022-08-27 |