| NPI | 1306279849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA14258) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 10570) |
| Enumeration Date | 2013-08-20 |
| Last Update Date | 2016-10-06 |