| NPI | 1831340652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA20195) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL004106L) |
| Enumeration Date | 2008-10-10 |
| Last Update Date | 2023-08-15 |