| NPI | 1720352552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL60239636) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MT 1266) |
| Enumeration Date | 2012-02-24 |
| Last Update Date | 2014-09-23 |