| NPI | 1033579057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA9601) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 114237) |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2018-08-01 |