| NPI | 1710175492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 3944) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA15591) |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2021-06-14 |