| NPI | 1750759338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 015939) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA SI 60550989) |
| 235Z00000X Speech-Language Pathologist, (Licence: WA LL60632606) | |
| Enumeration Date | 2015-09-12 |
| Last Update Date | 2017-04-10 |