| NPI | 1598205049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA20740) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ10464) |
| Enumeration Date | 2017-03-02 |
| Last Update Date | 2022-09-01 |