| NPI | 1760967459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA17271) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ8864) |
| Enumeration Date | 2018-09-27 |
| Last Update Date | 2021-11-07 |