| NPI | 1285027110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL 60519566) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 14477) |
| Enumeration Date | 2015-03-17 |
| Last Update Date | 2016-04-19 |