| NPI | 1265630883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL60020646) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA SI00004590) |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2013-04-22 |