| NPI | 1336427996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AL S3032) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 11081) |
| Enumeration Date | 2011-08-01 |
| Last Update Date | 2012-03-01 |