| NPI | 1104395748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TN 0000002990) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP010302) |
| 235Z00000X Speech-Language Pathologist, (Licence: FL SA16603) | |
| Enumeration Date | 2018-11-13 |
| Last Update Date | 2020-04-03 |