| NPI | 1770953663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA15036) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WI 4214-154) |
| Enumeration Date | 2015-10-05 |
| Last Update Date | 2016-11-17 |