| NPI | 1407241912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AL 3731) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA7121) |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2015-04-01 |