| NPI | 1528218013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA9956) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL009269) |
| Enumeration Date | 2008-09-22 |
| Last Update Date | 2013-11-08 |