| NPI | 1114233772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA11167) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 242.001675) |
| Enumeration Date | 2010-08-20 |
| Last Update Date | 2018-03-21 |