| NPI | 1619114584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP14265) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA LL0003582) |
| Enumeration Date | 2009-01-14 |
| Last Update Date | 2024-10-01 |