| NPI | 1114464294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA16112) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ7946) |
| Enumeration Date | 2017-01-26 |
| Last Update Date | 2023-01-19 |