| NPI | 1093295552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA16451) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WY SP-746) |
| 235Z00000X Speech-Language Pathologist, (Licence: VA 2202009101) | |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2019-06-11 |