| NPI | 1629580360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA15048) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 25167) |
| 235Z00000X Speech-Language Pathologist, (Licence: IL 146.010153) | |
| 235Z00000X Speech-Language Pathologist, (Licence: SC 6193) | |
| Enumeration Date | 2017-11-03 |
| Last Update Date | 2018-03-17 |