| NPI | 1275044125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL013236) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA LL60796501) |
| Enumeration Date | 2017-10-18 |
| Last Update Date | 2023-02-10 |