| NPI | 1003125097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA11495) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ5216) |
| Enumeration Date | 2010-09-25 |
| Last Update Date | 2022-07-21 |