| NPI | 1952735490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL60500815) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OR 16019) |
| Enumeration Date | 2013-09-01 |
| Last Update Date | 2018-06-04 |