| NPI | 1023668043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA18460) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP013262) |
| Enumeration Date | 2019-09-12 |
| Last Update Date | 2024-11-19 |