| NPI | 1043976616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ10473) |
| Additional Taxonomies | 246Q00000X Spec/Tech, Pathology (Licence: FL SZ10473) |
| Enumeration Date | 2021-11-09 |
| Last Update Date | 2021-12-28 |