| NPI | 1447091681 |
|---|---|
| Former Name | STEPHANIE ALEXANDRA NELSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA SI61460689) |
| Enumeration Date | 2024-06-03 |
| Last Update Date | 2024-06-03 |