| NPI | 1306197561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL 60401896) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OR 14073) |
| Enumeration Date | 2012-09-27 |
| Last Update Date | 2024-08-24 |