| NPI | 1275936551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL60649103) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OR 13500) |
| Enumeration Date | 2014-10-01 |
| Last Update Date | 2025-03-05 |