| NPI | 1376251249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL61457605) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA SI61325561) |
| Enumeration Date | 2022-11-09 |
| Last Update Date | 2023-10-31 |