| NPI | 1356617864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 11830) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ5675) |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2015-07-28 |