| NPI | 1710543764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA16358) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL SA16358) |
| Enumeration Date | 2019-05-15 |
| Last Update Date | 2021-07-07 |