| NPI | 1952914079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: 14081578) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA SLPI.SI.60955041) |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2020-08-28 |