| NPI | 1346391570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL00002734) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA00013192) |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2012-10-05 |