| NPI | 1982752002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235500000X Specialist/Technologist (Licence: AR SP2769) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: LA 5683) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2022-11-16 |