| NPI | 1417914482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AR SP#487) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA4119) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2018-12-13 |