| NPI | 1518476563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA15689) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202007544) |
| Enumeration Date | 2017-09-21 |
| Last Update Date | 2025-02-10 |