| NPI | 1578681201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 8607) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL008515) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2022-07-21 |