| NPI | 1427233865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: LA 571) |
| Additional Taxonomies | 235500000X Specialist/Technologist (Licence: LA 571) |
| Enumeration Date | 2008-01-03 |
| Last Update Date | 2012-09-17 |