| NPI | 1760614853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA23005) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 100848) |
| Enumeration Date | 2009-08-22 |
| Last Update Date | 2024-10-07 |