| NPI | 1659657211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WI 3525-154) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO 0002497) |
| Enumeration Date | 2011-10-27 |
| Last Update Date | 2021-05-28 |