| NPI | 1740692672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA13624) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ6646) |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2016-07-05 |