| NPI | 1902575459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA20671) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ10319) |
| Enumeration Date | 2021-09-08 |
| Last Update Date | 2022-10-24 |