| NPI | 1407219678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA19336) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AL 4316) |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2022-01-14 |