| NPI | 1639628985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ7847) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA16104) |
| Enumeration Date | 2016-09-28 |
| Last Update Date | 2018-04-13 |