| NPI | 1033693676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA17300) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ8853) |
| Enumeration Date | 2018-09-19 |
| Last Update Date | 2021-03-09 |