| NPI | 1306510763 |
|---|---|
| Former Name | CECILIA SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL61202947) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OR 17190) |
| Enumeration Date | 2021-08-08 |
| Last Update Date | 2023-12-14 |