| NPI | 1770832289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA12512) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ5898) |
| Enumeration Date | 2012-08-30 |
| Last Update Date | 2022-11-06 |