| NPI | 1043808645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA19673) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ9927) |
| Enumeration Date | 2021-01-08 |
| Last Update Date | 2022-05-12 |