| NPI | 1225754914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SA22024) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL sz11067) |
| Enumeration Date | 2022-10-14 |
| Last Update Date | 2023-10-05 |