| NPI | 1982996823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ5313) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 11325) |
| Enumeration Date | 2011-05-11 |
| Last Update Date | 2025-03-07 |