| NPI | 1457765737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA15260) |
| Additional Taxonomies | 247200000X Technician, Other |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2019-10-29 |