| NPI | 1649431412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA7750) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL008163) |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2020-03-05 |