| NPI | 1700316866 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA21383) | 
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: UT 13440520-4102) | 
| 235Z00000X Speech-Language Pathologist, (Licence: NY 027616) | |
| 235Z00000X Speech-Language Pathologist, (Licence: TN 0000006690) | |
| Enumeration Date | 2017-06-12 | 
| Last Update Date | 2023-10-03 |