| NPI | 1417328154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL60561836) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL011305) |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2015-10-07 |