| NPI | 1851800601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA16645) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ8321) |
| Enumeration Date | 2017-09-25 |
| Last Update Date | 2024-04-29 |