| NPI | 1265988695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA15530) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ7764) |
| Enumeration Date | 2016-08-26 |
| Last Update Date | 2021-03-30 |