| NPI | 1588837827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL 60044302) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WI 2972-154) |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2010-08-11 |