| NPI | 1417550039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ10006) |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2020-11-17 |
| Last Update Date | 2022-01-18 |