| NPI | 1710406111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL60771543) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 07902) |
| Enumeration Date | 2017-09-18 |
| Last Update Date | 2022-07-21 |