| NPI | 1174914071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 13770) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 07311) |
| Enumeration Date | 2015-02-12 |
| Last Update Date | 2020-12-23 |