| NPI | 1558897504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL 60740403) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA SP 21493) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |