| NPI | 1902170103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA12764) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PR 1031) |
| Enumeration Date | 2012-03-06 |
| Last Update Date | 2026-04-29 |