| NPI | 1477803005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 13176) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 11033) |
| Enumeration Date | 2012-09-11 |
| Last Update Date | 2019-05-15 |