| NPI | 1982251419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA15439) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP10906) |
| 235Z00000X Speech-Language Pathologist, (Licence: MA 77253) | |
| Enumeration Date | 2019-08-20 |
| Last Update Date | 2020-09-04 |