| NPI | 1053742718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 13773) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ 6745) |
| 235Z00000X Speech-Language Pathologist, (Licence: PR 002059) | |
| Enumeration Date | 2013-12-06 |
| Last Update Date | 2016-08-10 |