| NPI | 1972817021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA10866) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL sz 4878) |
| Enumeration Date | 2010-07-31 |
| Last Update Date | 2022-06-07 |