| NPI | 1629557954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA17356) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ8694) |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2019-09-12 |