| NPI | 1639463623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA11576) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ5393) |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2021-06-16 |