| NPI | 1174166292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA19891) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ID SLP4034) |
| Enumeration Date | 2019-10-21 |
| Last Update Date | 2022-08-29 |