| NPI | 1700252046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA14795) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ7209) |
| Enumeration Date | 2015-08-20 |
| Last Update Date | 2018-03-17 |