| NPI | 1497252654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA18267) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ9249) |
| Enumeration Date | 2018-04-12 |
| Last Update Date | 2020-09-03 |