| NPI | 1245280684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 9234) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KS 2158) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2007-10-04 |