| NPI | 1295103752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA18221) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ9331) |
| Enumeration Date | 2015-09-14 |
| Last Update Date | 2021-01-21 |