| NPI | 1376770032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA8655) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: HI SP1012) |
| Enumeration Date | 2009-06-19 |
| Last Update Date | 2009-06-19 |