| NPI | 1831510130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL61209437) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP8569) |
| Enumeration Date | 2014-01-04 |
| Last Update Date | 2022-01-25 |