| NPI | 1285994673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA12292) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AR 200246) |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2021-03-17 |