| NPI | 1144565268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 14148) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP 007414) |
| Enumeration Date | 2012-11-29 |
| Last Update Date | 2015-12-29 |