| NPI | 1982842340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL60164643) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP005611) |
| Enumeration Date | 2009-01-23 |
| Last Update Date | 2011-07-06 |