| NPI | 1679199814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA15528) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP010505) |
| Enumeration Date | 2020-06-23 |
| Last Update Date | 2020-06-23 |