| NPI | 1366006215 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist,   (Licence: FL SA19178)  | 
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist,   (Licence: SC sp00646)  | 
| Enumeration Date | 2019-04-25 | 
| Last Update Date | 2025-01-29 |