| NPI | 1639479652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA11538) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ 5273) |
| Enumeration Date | 2010-10-25 |
| Last Update Date | 2022-05-17 |