| NPI | 1497240030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA17610) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ8529) |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2020-08-02 |