| NPI | 1487703278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 11658) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 8338) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2018-04-23 |