| NPI | 1962721522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL60193944) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP006574) |
| Enumeration Date | 2010-05-21 |
| Last Update Date | 2021-10-05 |