| NPI | 1053868984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA15091) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 08315) |
| Enumeration Date | 2016-09-08 |
| Last Update Date | 2019-02-19 |