| NPI | 1164874293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SD 686-SLP) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SD 601-PROV) |
| Enumeration Date | 2016-07-13 |
| Last Update Date | 2024-05-13 |