| NPI | 1356855712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WI 4572-154) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA LL60758071) |
| Enumeration Date | 2017-11-21 |
| Last Update Date | 2017-11-21 |