| NPI | 1942635669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 015145) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA LL60594915) |
| Enumeration Date | 2013-09-12 |
| Last Update Date | 2023-08-28 |