| NPI | 1578913778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA20664) |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2016-06-17 |
| Last Update Date | 2022-09-15 |