| NPI | 1740553601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ID SLP-5394) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA LL00004303) |
| Enumeration Date | 2012-02-22 |
| Last Update Date | 2024-07-25 |