| NPI | 1932496601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA16146) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 104774) |
| 235Z00000X Speech-Language Pathologist, (Licence: VA 2202007477) | |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2018-06-04 |