| NPI | 1639470875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: 12080602) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA8840) |
| Enumeration Date | 2010-11-04 |
| Last Update Date | 2023-03-09 |