| NPI | 1942553524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: OR 13247) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: WA LL60308709) |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2012-10-19 |
| Last Update Date | 2022-08-29 |