| NPI | 1205486552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA19154) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ9338) |
| Enumeration Date | 2019-09-18 |
| Last Update Date | 2021-11-11 |