| NPI | 1225322696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA-13324) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CT 1145) |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2022-09-21 |