| NPI | 1144568544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA12810) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ6113) |
| Enumeration Date | 2013-01-21 |
| Last Update Date | 2018-12-14 |