| NPI | 1942653290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL60813836) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ID TSLP-3021) |
| Enumeration Date | 2016-07-21 |
| Last Update Date | 2022-08-08 |