| NPI | 1861515702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 12253) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 6565) |
| 235Z00000X Speech-Language Pathologist, (Licence: GA SLP010175) | |
| Enumeration Date | 2007-04-07 |
| Last Update Date | 2018-08-17 |