| NPI | 1700195773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL60014238) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OR 012790) |
| Enumeration Date | 2010-09-24 |
| Last Update Date | 2010-09-24 |