| NPI | 1275865875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA13291) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP005098) |
| Enumeration Date | 2010-02-05 |
| Last Update Date | 2014-12-16 |