| NPI | 1104250984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: FL SA12845) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: TX 107692) |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2014-07-07 |