| NPI | 1053998971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: AZ SLPA15314) |
| Additional Taxonomies | 225A00000X Music Therapist |
| Enumeration Date | 2021-03-26 |
| Last Update Date | 2024-06-20 |