| NPI | 1720479785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA14054) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MT SLP-SP-LIC-1178) |
| Enumeration Date | 2015-02-12 |
| Last Update Date | 2023-06-13 |