| NPI | 1710331921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SD 429-SLP) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SD 14037899) |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2022-07-11 |