| NPI | 1164823597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA10990) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 28387) |
| 235Z00000X Speech-Language Pathologist, (Licence: TX 12293) | |
| Enumeration Date | 2014-09-04 |
| Last Update Date | 2024-02-29 |