| NPI | 1306278155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL 13015) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ6272) |
| Enumeration Date | 2013-08-04 |
| Last Update Date | 2019-11-20 |