| NPI | 1396190310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA SLP.LL.60904171) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA SP 24116) |
| Enumeration Date | 2016-04-27 |
| Last Update Date | 2019-07-09 |