| NPI | 1194181461 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA14428) | 
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ6979) | 
| Enumeration Date | 2016-01-02 | 
| Last Update Date | 2019-01-30 |