| NPI | 1174902043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA15012) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ7086) |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2018-08-01 |