| NPI | 1457759730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA16118) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PR 3000) |
| Enumeration Date | 2014-12-18 |
| Last Update Date | 2020-09-16 |