| NPI | 1275069643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MS S4461) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA16332) |
| Enumeration Date | 2017-05-04 |
| Last Update Date | 2018-08-15 |