| NPI | 1447527429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA11813) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NM 4959) |
| Enumeration Date | 2011-11-19 |
| Last Update Date | 2013-05-20 |