| NPI | 1962656884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA12634) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202005944) |
| 235Z00000X Speech-Language Pathologist, (Licence: FL 5A12634) | |
| Enumeration Date | 2008-11-05 |
| Last Update Date | 2017-03-15 |