| NPI | 1013125152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 8630) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL Sa8630) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2023-04-20 |