| NPI | 1063824001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 12928) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KY KY 3283) |
| Enumeration Date | 2014-05-26 |
| Last Update Date | 2015-01-03 |