| NPI | 1164849055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 5406) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 14308) |
| Enumeration Date | 2014-03-28 |
| Last Update Date | 2023-04-14 |