| NPI | 1508139486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA12264) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ5732) |
| Enumeration Date | 2012-02-22 |
| Last Update Date | 2022-07-21 |