| NPI | 1932650579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA17431) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP009458) |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2023-03-07 |