| NPI | 1265532667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA7928) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL SA7928) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2012-03-30 |