| NPI | 1922611987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA19770) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA LL61107451) |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2022-01-10 |