| NPI | 1962148767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL61317493) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OR 17163) |
| Enumeration Date | 2022-05-05 |
| Last Update Date | 2022-06-27 |