| NPI | 1861625972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA13764) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: UT 73400244102) |
| Enumeration Date | 2009-08-24 |
| Last Update Date | 2023-10-12 |