| NPI | 1083874606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: FL SA10605) |
| Additional Taxonomies | 103TB0200X Psychologist Cognitive & Behavioral |
| 235Z00000X Speech-Language Pathologist (Licence: FL SZ4902) | |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2021-10-02 |