NPI | 1588128763 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL00004509) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA L00004509) |
Enumeration Date | 2019-01-22 |
Last Update Date | 2019-01-22 |