| NPI | 1518487495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA18874) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ9521) |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2021-03-23 |