| NPI | 1275085748 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA16846) | 
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ7903) | 
| Enumeration Date | 2016-10-31 | 
| Last Update Date | 2020-02-07 |