| NPI | 1659857175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL60967859) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA 60862394) |
| Enumeration Date | 2018-07-18 |
| Last Update Date | 2023-12-14 |