| NPI | 1023121084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA9062) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP006218) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2021-01-08 |