| NPI | 1023076668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WI 3844-154) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NM 2067) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2019-06-11 |