| NPI | 1285252569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA20900) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 30002434) |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2023-12-05 |