| NPI | 1871094649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL60917759) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO 0000228) |
| Enumeration Date | 2018-02-26 |
| Last Update Date | 2019-01-14 |