| NPI | 1417430422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA17394) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ8829) |
| Enumeration Date | 2018-09-14 |
| Last Update Date | 2019-09-12 |