| NPI | 1366733891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 13362) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA LL 60315236) |
| Enumeration Date | 2011-05-02 |
| Last Update Date | 2014-01-03 |