| NPI | 1497113658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA15362) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ7457) |
| Enumeration Date | 2016-02-03 |
| Last Update Date | 2021-05-06 |