NPI | 1568910255 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL60662797) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OR 015818) |
Enumeration Date | 2016-09-12 |
Last Update Date | 2016-09-12 |