| NPI | 1780389619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA12940) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL 12940) |
| Enumeration Date | 2023-03-31 |
| Last Update Date | 2023-04-03 |