| NPI | 1316218845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA14611) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.002169) |
| Enumeration Date | 2012-01-13 |
| Last Update Date | 2016-07-15 |