| NPI | 1720199466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL60201308) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ3693) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2011-03-01 |