| NPI | 1750505426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL00003214) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH00010914) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2012-04-05 |