| NPI | 1174054589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA16002) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ7721) |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2019-02-14 |