| NPI | 1659640852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL60390025) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA SI60251616) |
| Enumeration Date | 2011-12-19 |
| Last Update Date | 2018-06-21 |