| NPI | 1174066039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA18113) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ9164) |
| Enumeration Date | 2016-11-28 |
| Last Update Date | 2024-07-19 |