| NPI | 1194083584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA12763) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 04630) |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2014-08-14 |