| NPI | 1306134424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 6899) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.010610) |
| Enumeration Date | 2011-07-11 |
| Last Update Date | 2016-05-14 |