| NPI | 1679037287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA21000) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ10380) |
| Enumeration Date | 2019-01-28 |
| Last Update Date | 2023-01-25 |