| NPI | 1003140799 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL sa10277) | 
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ 4567) | 
| Enumeration Date | 2009-09-28 | 
| Last Update Date | 2023-07-10 |