| NPI | 1255736625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL 60337719) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OR 15042) |
| 235Z00000X Speech-Language Pathologist, (Licence: IA 002290) | |
| Enumeration Date | 2014-10-28 |
| Last Update Date | 2014-10-28 |