| NPI | 1376061705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL61471408) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 34442) |
| Enumeration Date | 2017-09-06 |
| Last Update Date | 2023-11-29 |