| NPI | 1700332541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA15781) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ7779) |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2020-01-24 |