| NPI | 1467831438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL60681911) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OR 15628) |
| Enumeration Date | 2015-05-23 |
| Last Update Date | 2016-10-15 |