| NPI | 1225389018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA12517) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ5960) |
| Enumeration Date | 2012-09-20 |
| Last Update Date | 2019-08-28 |