| NPI | 1780013078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AL 5211) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ6482) |
| 235Z00000X Speech-Language Pathologist, (Licence: FL SA13280) | |
| Enumeration Date | 2013-11-06 |
| Last Update Date | 2022-08-18 |