| NPI | 1083035786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA16246) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL sz8120) |
| Enumeration Date | 2013-12-23 |
| Last Update Date | 2022-10-19 |