| NPI | 1225365240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA14828) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146006958) |
| Enumeration Date | 2009-11-11 |
| Last Update Date | 2017-10-04 |