| NPI | 1366287567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 8734) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA17693) |
| Enumeration Date | 2024-06-28 |
| Last Update Date | 2024-06-28 |