| NPI | 1538235205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WI 3832 - 154) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA LL00004193) |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2013-08-07 |