| NPI | 1497198469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL 60122614) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OR 11051) |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2013-04-09 |