| NPI | 1770952061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA14802) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ7316) |
| Enumeration Date | 2015-09-17 |
| Last Update Date | 2022-07-21 |