| NPI | 1538644265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 7249) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA16049) |
| Enumeration Date | 2018-09-28 |
| Last Update Date | 2020-07-08 |