| NPI | 1497308324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA18277) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ9302) |
| Enumeration Date | 2019-07-19 |
| Last Update Date | 2020-08-31 |