| NPI | 1215544028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA SI61100618) |
| Enumeration Date | 2020-09-25 |
| Last Update Date | 2021-09-28 |