| NPI | 1053852053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA-16718) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CT 000862) |
| Enumeration Date | 2017-03-10 |
| Last Update Date | 2020-02-13 |