| NPI | 1174079263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA15624) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ 7781) |
| Enumeration Date | 2016-08-29 |
| Last Update Date | 2017-08-20 |