| NPI | 1306560511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WI 6364) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WI 6010) |
| Enumeration Date | 2022-09-30 |
| Last Update Date | 2023-10-04 |