| NPI | 1326417460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA15181) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ7299) |
| Enumeration Date | 2015-09-18 |
| Last Update Date | 2021-08-05 |