| NPI | 1285133272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ9335) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SI3491) |
| Enumeration Date | 2018-02-06 |
| Last Update Date | 2020-01-09 |