| NPI | 1730477753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: FL SA11607) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: PA SL009241) |
| Enumeration Date | 2011-07-11 |
| Last Update Date | 2019-10-23 |