| NPI | 1457558173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA ll60388988) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ4229) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2022-01-04 |