| NPI | 1023595006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA-6804) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP009619) |
| Enumeration Date | 2018-07-23 |
| Last Update Date | 2021-12-08 |