| NPI | 1396991568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: DE 01-0001111) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: FL SA6539) |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2011-04-21 |