| NPI | 1750093639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA21928) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ10235) |
| Enumeration Date | 2022-12-22 |
| Last Update Date | 2023-10-31 |