| NPI | 1407306855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL61112902) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 10958) |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2020-12-30 |