| NPI | 1407150212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA11437) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL010271) |
| 235Z00000X Speech-Language Pathologist, (Licence: MD 05704) | |
| Enumeration Date | 2011-01-08 |
| Last Update Date | 2022-02-10 |