| NPI | 1245781145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL 20197) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL 10079) |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2022-05-02 |