| NPI | 1619145349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA9625) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ4262) |
| Enumeration Date | 2008-02-15 |
| Last Update Date | 2021-10-11 |