| NPI | 1811688906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0005174) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA20681) |
| Enumeration Date | 2023-05-18 |
| Last Update Date | 2023-05-18 |