| NPI | 1396103008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ7362) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP011309) |
| Enumeration Date | 2016-02-09 |
| Last Update Date | 2020-11-18 |