| NPI | 1134510043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA16629) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PR 3035) |
| Enumeration Date | 2015-02-13 |
| Last Update Date | 2018-09-24 |