| NPI | 1851437990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL60042669) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: WA LD00003523) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2014-09-05 |