| NPI | 1205092152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA10135) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ4318) |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2019-01-04 |