| NPI | 1659728392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ11382) |
| Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: FL SI5455) |
| 247200000X Technician, Other | |
| Enumeration Date | 2016-05-23 |
| Last Update Date | 2023-07-13 |