| NPI | 1487139598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL61454057) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL017601) |
| Enumeration Date | 2018-09-25 |
| Last Update Date | 2024-07-16 |