| NPI | 1770143935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA17902) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL sz9058) |
| Enumeration Date | 2019-06-19 |
| Last Update Date | 2022-02-09 |