| NPI | 1588823462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 12945) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA LL00004666) |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2010-06-30 |