| NPI | 1871873760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 8175) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA10800) |
| Enumeration Date | 2011-08-23 |
| Last Update Date | 2019-10-29 |