| NPI | 1154962058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA18349) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ9373) |
| Enumeration Date | 2019-10-01 |
| Last Update Date | 2020-09-15 |