| NPI | 1538635388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: TX 40641) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 40641) |
| Enumeration Date | 2018-10-19 |
| Last Update Date | 2018-10-19 |