| NPI | 1750007548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA21674) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ11054) |
| Enumeration Date | 2022-10-13 |
| Last Update Date | 2023-08-16 |