| NPI | 1710124052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA14629) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WV SLP-0774) |
| Enumeration Date | 2009-01-08 |
| Last Update Date | 2022-03-23 |