| NPI | 1982926606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL 60247297) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL009537) |
| Enumeration Date | 2010-02-22 |
| Last Update Date | 2011-11-08 |