| NPI | 1407415763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA17856) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ9056) |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2022-05-12 |