| NPI | 1013266378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA12279) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL sz5903) |
| Enumeration Date | 2012-09-02 |
| Last Update Date | 2014-03-02 |