| NPI | 1336668813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA16671) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ8241) |
| Enumeration Date | 2017-09-15 |
| Last Update Date | 2019-03-19 |