| NPI | 1720358260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA15346) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP007607) |
| Enumeration Date | 2011-12-30 |
| Last Update Date | 2022-07-21 |