| NPI | 1356632608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 08682) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA10929) |
| Enumeration Date | 2011-04-20 |
| Last Update Date | 2018-02-06 |