| NPI | 1649560327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL 60599108) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 10496) |
| Enumeration Date | 2011-04-14 |
| Last Update Date | 2016-01-26 |