| NPI | 1205115292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: FL SA11812) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: FL SZ5501) |
| Enumeration Date | 2011-08-09 |
| Last Update Date | 2012-09-10 |