| NPI | 1639622400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ9824) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL SI 2815) |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: FL SI 2815) | |
| Enumeration Date | 2016-07-28 |
| Last Update Date | 2020-09-30 |