| NPI | 1053749291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA15213) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WI 3904154) |
| Enumeration Date | 2013-10-25 |
| Last Update Date | 2018-03-17 |