| NPI | 1235642752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA16732) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ8397) |
| Enumeration Date | 2017-11-06 |
| Last Update Date | 2023-06-07 |