| NPI | 1700538246 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ13149) |
| Enumeration Date | 2022-01-26 |
| Last Update Date | 2026-04-21 |