| NPI | 1508647454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL61440693) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 10770) |
| Enumeration Date | 2023-10-06 |
| Last Update Date | 2024-06-05 |