| NPI | 1083080642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AL 3251) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 13342) |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2018-09-18 |