| NPI | 1295057362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA6151) |
| Additional Taxonomies | 171W00000X Contractor (Licence: FL SA6151) |
| Enumeration Date | 2010-02-17 |
| Last Update Date | 2025-11-09 |