| NPI | 1528720208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA22721) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ11362) |
| Enumeration Date | 2021-10-09 |
| Last Update Date | 2024-08-18 |