| NPI | 1932340403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL60073430) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 4892) |
| Enumeration Date | 2009-03-13 |
| Last Update Date | 2009-03-13 |