| NPI | 1356632020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: WI 100770) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: FL SA10687) |
| Enumeration Date | 2011-04-28 |
| Last Update Date | 2011-04-28 |