| NPI | 1417388000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA16429) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ8207) |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: FL SI2223) | |
| Enumeration Date | 2013-12-06 |
| Last Update Date | 2020-01-23 |