| NPI | 1629509450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA17797) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ8498) |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2021-03-05 |