| NPI | 1467832568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA SI60880420) |
| Additional Taxonomies | 247200000X Technician, Other |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2024-02-13 |