| NPI | 1770828022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: FL SA15837) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: MO 2011018661) |
| Enumeration Date | 2012-11-27 |
| Last Update Date | 2018-06-20 |