| NPI | 1689873622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA11344) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA LL00004502) |
| 235Z00000X Speech-Language Pathologist, (Licence: OR 12761) | |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2013-01-02 |