| NPI | 1245768225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA 60861353) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA SI60760504) |
| Enumeration Date | 2017-06-02 |
| Last Update Date | 2020-02-05 |