| NPI | 1780040766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ID SLP-2107) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA LL 60230238) |
| Enumeration Date | 2016-01-06 |
| Last Update Date | 2016-01-06 |