| NPI | 1659134310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 18066) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA21992) |
| Enumeration Date | 2024-02-05 |
| Last Update Date | 2024-02-05 |