| NPI | 1649901695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA22258) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: UT 123621874102) |
| Enumeration Date | 2022-06-21 |
| Last Update Date | 2024-04-26 |