| NPI | 1205094794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 6600) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL004901L) |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2008-05-30 |