| NPI | 1164931796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA17427) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ8217) |
| Enumeration Date | 2017-09-26 |
| Last Update Date | 2022-08-02 |