| NPI | 1942756002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA15790) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ 7468) |
| Enumeration Date | 2016-08-29 |
| Last Update Date | 2018-10-08 |