| NPI | 1992319602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL 20128) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL 9751) |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2024-03-28 |