| NPI | 1558503920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA 009241) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA9330) |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2022-08-16 |