| NPI | 1336102953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP12671) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA LL00003611) |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2024-05-24 |