| NPI | 1205205440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA12978) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP9296) |
| Enumeration Date | 2015-09-17 |
| Last Update Date | 2020-10-26 |