| NPI | 1043357494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 6705) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 14089) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2016-08-10 |