| NPI | 1730322074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA10400) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ4731) |
| Enumeration Date | 2009-04-16 |
| Last Update Date | 2020-06-07 |