| NPI | 1952880148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA15975) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 6351) |
| 235Z00000X Speech-Language Pathologist, (Licence: MS S4243) | |
| Enumeration Date | 2018-08-09 |
| Last Update Date | 2018-08-09 |