| NPI | 1407228901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA15144) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ7242) |
| Enumeration Date | 2015-10-22 |
| Last Update Date | 2019-01-28 |