| NPI | 1215283353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA11622) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TN 4538) |
| Enumeration Date | 2012-07-26 |
| Last Update Date | 2012-07-26 |