| NPI | 1376006361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL61271478) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 01767L) |
| Enumeration Date | 2019-04-08 |
| Last Update Date | 2025-03-14 |