| NPI | 1477953909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA13317) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ6245) |
| Enumeration Date | 2014-09-03 |
| Last Update Date | 2018-05-25 |