| NPI | 1407190739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 9160) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA18011) |
| Enumeration Date | 2012-11-27 |
| Last Update Date | 2025-09-03 |