| NPI | 1043573439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 7925) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA12141) |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2022-05-26 |