| NPI | 1841760089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA12246) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP008317) |
| Enumeration Date | 2018-11-30 |
| Last Update Date | 2018-11-30 |