| NPI | 1932478153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA11658) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 18647) |
| 235Z00000X Speech-Language Pathologist, (Licence: GA SLP011016) | |
| Enumeration Date | 2011-12-16 |
| Last Update Date | 2022-06-18 |