| NPI | 1083097430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA13347) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: DC SLP000884) |
| Enumeration Date | 2015-07-02 |
| Last Update Date | 2015-07-02 |