| NPI | 1760017289 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist,   (Licence: FL SZ10981)  | 
| Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: FL SI4312)  | 
| Enumeration Date | 2020-03-04 | 
| Last Update Date | 2022-12-05 |