| NPI | 1396035598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA10786) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IA 01397) |
| Enumeration Date | 2011-04-10 |
| Last Update Date | 2011-04-10 |