| NPI | 1962699108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA9801) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| 235Z00000X Speech-Language Pathologist, (Licence: FL SZ4372) | |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2020-11-18 |