| NPI | 1053829234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 0005236) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA15667) |
| Enumeration Date | 2018-01-22 |
| Last Update Date | 2024-05-22 |