| NPI | 1548439177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA sL006187L) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA SLP.LL.61640342) |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2025-03-29 |