| NPI | 1588813182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA15973) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL006387L) |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2019-08-22 |