| NPI | 1790729309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA6328) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: HI 1957) |
| 235Z00000X Speech-Language Pathologist, (Licence: CA 17037) | |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2022-03-15 |