| NPI | 1710750708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: 14415341) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA LL61247097) |
| Enumeration Date | 2023-11-01 |
| Last Update Date | 2023-11-01 |