| NPI | 1760698831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP006145) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA LL00002834) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2007-07-08 |