| NPI | 1770983538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 13283) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 12849) |
| Enumeration Date | 2014-08-29 |
| Last Update Date | 2018-03-22 |