| NPI | 1770893679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ5262) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL 11560) |
| Enumeration Date | 2010-10-14 |
| Last Update Date | 2018-03-19 |