| NPI | 1073914016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 13409) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA13936) |
| 222Q00000X Developmental Therapist (Licence: FL SA13936) | |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2022-05-06 |