| NPI | 1629496682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA8525) |
| Enumeration Date | 2014-04-06 |
| Last Update Date | 2019-01-15 |