| NPI | 1417591363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA16965) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NE 1849) |
| 235Z00000X Speech-Language Pathologist, (Licence: SC 7189) | |
| Enumeration Date | 2019-11-04 |
| Last Update Date | 2020-09-14 |