| NPI | 1477996312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA 14050848) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 12101) |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2021-04-12 |