| NPI | 1992003107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: LA 6595) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA9847) |
| Enumeration Date | 2011-03-11 |
| Last Update Date | 2018-03-22 |