| NPI | 1952730202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL 60413669) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA sp 20933) |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2013-11-07 |