| NPI | 1407671803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA21726) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OR 18382) |
| Enumeration Date | 2024-11-20 |
| Last Update Date | 2024-11-20 |