| NPI | 1619204864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL60502920) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2009-11-09 |
| Last Update Date | 2023-04-17 |