| NPI | 1003243312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA18025) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SI2224) |
| 235Z00000X Speech-Language Pathologist, (Licence: FL SZ9191) | |
| Enumeration Date | 2013-10-01 |
| Last Update Date | 2021-08-06 |