| NPI | 1114060274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA9210) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ 4082) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2019-09-10 |