| NPI | 1558675165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL sa 10540) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA17391) |
| Enumeration Date | 2010-08-06 |
| Last Update Date | 2019-09-03 |