| NPI | 1679833677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA12072) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL sz5708) |
| Enumeration Date | 2012-05-23 |
| Last Update Date | 2020-02-14 |