| NPI | 1104250695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL 13465) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ 6355) |
| Enumeration Date | 2013-09-03 |
| Last Update Date | 2021-08-02 |