| NPI | 1841678893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL 15958) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: LA 7331) |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2018-03-17 |