| NPI | 1033285002 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 0002405) | 
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 6425) | 
| Enumeration Date | 2006-11-28 | 
| Last Update Date | 2024-08-21 |