| NPI | 1811323546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA12848) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 5337) |
| Enumeration Date | 2013-09-26 |
| Last Update Date | 2025-01-13 |