| NPI | 1962668111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: LA 7494) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AR 1712) |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2023-12-08 |