| NPI | 1801828298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA8587) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 77101) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2020-01-27 |