| NPI | 1518339555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL 60600458) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OR 15192) |
| Enumeration Date | 2015-10-29 |
| Last Update Date | 2015-10-29 |