| NPI | 1114212438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA12362) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ5448) |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2013-11-06 |