| NPI | 1447563739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA14445) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: HI 330) |
| Enumeration Date | 2010-07-15 |
| Last Update Date | 2016-05-31 |