| NPI | 1205873213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA9306) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ3905) |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2022-04-18 |