| NPI | 1801107503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA11147) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ5091) |
| Enumeration Date | 2010-06-28 |
| Last Update Date | 2022-02-09 |