| NPI | 1174943807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA13481) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL sz6561) |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2020-04-13 |