| NPI | 1467634568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA14582) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 9007) |
| Enumeration Date | 2007-11-29 |
| Last Update Date | 2022-05-25 |