| NPI | 1205230463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA17692) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 104829) |
| 235Z00000X Speech-Language Pathologist, (Licence: PA SL013837) | |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2021-08-03 |