| NPI | 1205449717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: WA SI61076397) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: WA 61213054) |
| Enumeration Date | 2020-08-25 |
| Last Update Date | 2025-07-09 |