| NPI | 1689067514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL60749425) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 110474) |
| Enumeration Date | 2015-03-17 |
| Last Update Date | 2019-09-10 |