| NPI | 1265833222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA14733) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PR 3071-1) |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2021-11-12 |