| NPI | 1821405903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA14026) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ6891) |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2015-12-22 |