| NPI | 1407474075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA19214) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ9619) |
| Enumeration Date | 2020-07-10 |
| Last Update Date | 2024-05-23 |