| NPI | 1508431347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: FL SZ10396) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: AR 201412) |
| Enumeration Date | 2021-05-24 |
| Last Update Date | 2022-03-26 |