| NPI | 1932708237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA SI61099839) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OR 16943) |
| Enumeration Date | 2020-10-19 |
| Last Update Date | 2020-10-19 |