| NPI | 1376096032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL61356758) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OR 15852) |
| Enumeration Date | 2016-07-29 |
| Last Update Date | 2024-02-20 |