| NPI | 1295728665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA863) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NV SP-1427) |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2014-09-18 |