| NPI | 1346693702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA15563) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ7561) |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2022-06-14 |