| NPI | 1437535655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA14031) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: DC SLP000908) |
| Enumeration Date | 2015-08-11 |
| Last Update Date | 2016-11-15 |