| NPI | 1366982084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA15829) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ7686) |
| Enumeration Date | 2017-02-28 |
| Last Update Date | 2024-07-01 |