| NPI | 1215239306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA12671) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL004823L) |
| Enumeration Date | 2010-11-23 |
| Last Update Date | 2018-04-17 |