| NPI | 1295796860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL00004636) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WI 2775154) |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2007-10-27 |