| NPI | 1568965747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA17099) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ8448) |
| Enumeration Date | 2018-03-14 |
| Last Update Date | 2020-02-21 |