| NPI | 1952427312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA14509) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PR 1075) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2022-10-31 |