| NPI | 1164803755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA14439) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP008908) |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2016-06-02 |