| NPI | 1750679460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 13125) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA LL 60321429) |
| Enumeration Date | 2011-07-14 |
| Last Update Date | 2013-03-26 |