| NPI | 1205483658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 016663) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA SI60979070) |
| Enumeration Date | 2019-08-21 |
| Last Update Date | 2025-03-04 |