| NPI | 1316011430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA LL00001326) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2019-01-09 |