| NPI | 1770124174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 016412) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA LL61006623) |
| Enumeration Date | 2019-10-07 |
| Last Update Date | 2024-12-17 |