| NPI | 1215064464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: WA 021602LL00001046) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: IA 01105) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2007-07-08 |