| NPI | 1518560887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA19389) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ9674) |
| Enumeration Date | 2020-11-19 |
| Last Update Date | 2021-11-29 |