| NPI | 1689126062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PR 4033) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PR 4134-1) |
| Enumeration Date | 2016-11-01 |
| Last Update Date | 2017-01-20 |