| NPI | 1336694892 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA15457) | 
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ7762) | 
| Enumeration Date | 2016-08-24 | 
| Last Update Date | 2021-09-30 |