| NPI | 1396102216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TN 7080) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA15449) |
| Enumeration Date | 2016-01-22 |
| Last Update Date | 2022-08-08 |