| NPI | 1457696338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA 00003548) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OR 10883) |
| Enumeration Date | 2012-12-04 |
| Last Update Date | 2012-12-04 |