| NPI | 1225402993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA18586) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PR 3095) |
| 235Z00000X Speech-Language Pathologist, (Licence: FL SZ7605) | |
| Enumeration Date | 2015-11-18 |
| Last Update Date | 2020-12-22 |