| NPI | 1942504147 | 
|---|---|
| Former Name | ANGELA JEAN SHARP | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL 00003466) | 
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OR 13409) | 
| Enumeration Date | 2011-01-02 | 
| Last Update Date | 2015-08-11 |