| NPI | 1710262993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA12175) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ5660) |
| Enumeration Date | 2011-10-19 |
| Last Update Date | 2024-09-04 |