| NPI | 1750034054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA20945) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ10523) |
| Enumeration Date | 2022-01-27 |
| Last Update Date | 2023-01-04 |