| NPI | 1386011765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL61033853) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MN 9560) |
| Enumeration Date | 2015-09-01 |
| Last Update Date | 2020-05-12 |