| NPI | 1790022283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: HI 1144) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA12271) |
| Enumeration Date | 2013-01-03 |
| Last Update Date | 2019-08-06 |