| NPI | 1952962110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL60947375) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ID SLP-3444) |
| Enumeration Date | 2019-06-27 |
| Last Update Date | 2022-06-01 |