| NPI | 1659003259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA21594) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ10739) |
| Enumeration Date | 2022-06-30 |
| Last Update Date | 2023-06-22 |