| NPI | 1063548782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WI 5162-154) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NE 1160) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2021-06-22 |