| NPI | 1174074744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA16149) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ7884) |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2019-03-27 |