| NPI | 1740644160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 015422) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA LL60609939) |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2016-04-12 |