| NPI | 1245602911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA17168) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ8659) |
| Enumeration Date | 2015-10-21 |
| Last Update Date | 2023-09-19 |