| NPI | 1457881039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL61398112) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 32313) |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2023-08-25 |