| NPI | 1750629937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: ID SLP-2219) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: WA LL60026217) |
| Enumeration Date | 2013-01-23 |
| Last Update Date | 2013-01-23 |