| NPI | 1710226725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA12438) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 1303187) |
| Enumeration Date | 2013-02-11 |
| Last Update Date | 2023-09-04 |