| NPI | 1730240094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL000003816) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA SP9394) |
| 235Z00000X Speech-Language Pathologist, (Licence: OR 11114) | |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2007-11-02 |