| NPI | 1487209532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA17781) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 13199) |
| Enumeration Date | 2019-08-06 |
| Last Update Date | 2023-04-06 |