| NPI | 1740735380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA15698) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ7752) |
| Enumeration Date | 2016-08-24 |
| Last Update Date | 2020-08-14 |