| NPI | 1811659923 |
|---|---|
| Professional Name | N/A N/A N/A |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL61352081) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA SI61214654) |
| Enumeration Date | 2021-10-06 |
| Last Update Date | 2023-07-27 |