| NPI | 1790290427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA21018) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ8729) |
| Enumeration Date | 2017-12-04 |
| Last Update Date | 2022-12-08 |