| NPI | 1255771648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AL 3459) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA9897) |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2013-06-28 |