| NPI | 1558572800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA 60383367) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WI 2712154) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2019-06-12 |