| NPI | 1619467115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ8708) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: FL SI3020) | |
| Enumeration Date | 2018-05-10 |
| Last Update Date | 2018-08-28 |