| NPI | 1508028119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL60211648) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP004900) |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2013-10-08 |