| NPI | 1689199796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ8379) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA16635) |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: FL SI3352) | |
| Enumeration Date | 2017-08-09 |
| Last Update Date | 2023-01-21 |