| NPI | 1376923169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 6662) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA10241) |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2019-01-29 |