| NPI | 1124457445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: FL SA13585) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: FL SZ6500) |
| Enumeration Date | 2013-11-06 |
| Last Update Date | 2020-01-22 |