| NPI | 1588198857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WI 4042-154) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL012711) |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2021-12-08 |