| NPI | 1992838734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA11556) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL0007292) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2020-07-22 |