| NPI | 1346760170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA16585) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 117777) |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2022-02-21 |