| NPI | 1629746789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA19655) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL015761) |
| Enumeration Date | 2021-09-02 |
| Last Update Date | 2024-04-05 |