| NPI | 1457805343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL60780259) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 27617) |
| Enumeration Date | 2016-08-08 |
| Last Update Date | 2019-02-01 |