| NPI | 1275730897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL00002677) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OR 12537) |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2022-07-21 |