| NPI | 1083184634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA16690) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KS 4265) |
| Enumeration Date | 2018-11-27 |
| Last Update Date | 2018-11-27 |