| NPI | 1659981371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA15860) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA105860) |
| Enumeration Date | 2020-08-06 |
| Last Update Date | 2020-08-24 |