| NPI | 1922624030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL 9566) |
| Additional Taxonomies | 251V00000X Voluntary or Charitable |
| Enumeration Date | 2020-06-24 |
| Last Update Date | 2020-06-24 |