| NPI | 1053655050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 13154) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2012038834) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2015-07-27 |