| NPI | 1558663450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA10601) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 06742) |
| 235Z00000X Speech-Language Pathologist, (Licence: RI SP01085) | |
| Enumeration Date | 2010-11-27 |
| Last Update Date | 2019-11-20 |