| NPI | 1982913042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL0003914) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: LL60161220) |
| Enumeration Date | 2010-10-06 |
| Last Update Date | 2011-09-12 |