| NPI | 1316586761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA19187) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 77345) |
| Enumeration Date | 2020-01-02 |
| Last Update Date | 2022-08-19 |