| NPI | 1316133820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL0000443890) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA LL00003890) |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2024-09-24 |