| NPI | 1760846075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA 14087351) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA16100) |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2021-07-15 |