| NPI | 1417359712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: FL SA15268) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: GA SLP008988) |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2020-03-12 |