| NPI | 1841761319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA20911) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP010295) |
| Enumeration Date | 2018-12-10 |
| Last Update Date | 2023-03-02 |