| NPI | 1942632336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL60385093) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 112898) |
| Enumeration Date | 2013-08-07 |
| Last Update Date | 2018-12-03 |