| NPI | 1518411867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA SI60674931) |
| Enumeration Date | 2016-08-03 |
| Last Update Date | 2020-05-26 |