| NPI | 1962059451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA19022) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ9173) |
| Enumeration Date | 2019-08-20 |
| Last Update Date | 2021-05-06 |