| NPI | 1215019211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL00003852) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 12851) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2019-07-15 |