NPI | 1912258666 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL00004166) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA 12024853) |
Enumeration Date | 2012-09-20 |
Last Update Date | 2023-09-28 |