| NPI | 1073995510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA17027) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PR 1034) |
| Enumeration Date | 2015-06-21 |
| Last Update Date | 2019-06-26 |