| NPI | 1518354182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA14208) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 22774) |
| Enumeration Date | 2015-04-22 |
| Last Update Date | 2021-09-16 |