| NPI | 1053507723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL 9377) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PR 766) |
| 235Z00000X Speech-Language Pathologist, (Licence: GA 007907) | |
| Enumeration Date | 2007-09-17 |
| Last Update Date | 2024-07-26 |