| NPI | 1033120563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA8779) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL 8779) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2021-11-15 |