NPI | 1649417460 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL00003251) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA 12023708) |
Enumeration Date | 2009-01-15 |
Last Update Date | 2009-01-15 |