| NPI | 1558044628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA11625) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 15542) |
| Enumeration Date | 2023-08-07 |
| Last Update Date | 2023-08-07 |