| NPI | 1043393424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 8671) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202006785) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2023-09-12 |