| NPI | 1023418621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA14376) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ6805) |
| Enumeration Date | 2014-09-02 |
| Last Update Date | 2016-03-08 |