| NPI | 1235371071 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA9266) | 
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 8091) | 
| Enumeration Date | 2009-03-25 | 
| Last Update Date | 2015-02-12 |