| NPI | 1780374793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA22362) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OR 17781) |
| 235Z00000X Speech-Language Pathologist, (Licence: GA SLP011070) | |
| Enumeration Date | 2023-05-11 |
| Last Update Date | 2024-10-08 |