| NPI | 1679930945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL sa16236) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 08061) |
| Enumeration Date | 2016-01-18 |
| Last Update Date | 2018-10-24 |