| NPI | 1689715492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA10314) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AR SP#1913) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2021-08-19 |