| NPI | 1821281841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IA 002130) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA LL00004534) |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2019-05-10 |