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 |