| NPI | 1861854960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA14607) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 109378) |
| 235Z00000X Speech-Language Pathologist, (Licence: WY SP-895) | |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2020-07-07 |