| NPI | 1811210271 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA15324) | 
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, | 
| 235Z00000X Speech-Language Pathologist, (Licence: FL SZ4997) | |
| 235Z00000X Speech-Language Pathologist, (Licence: VA 2202006067) | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2010-03-12 | 
| Last Update Date | 2021-09-24 |