| NPI | 1356605919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA12629) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ5779) |
| Enumeration Date | 2012-06-28 |
| Last Update Date | 2016-05-05 |