| NPI | 1538224449 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist,   (Licence: FL SA9807)  | 
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist,   (Licence: NC 6328)  | 
| Enumeration Date | 2006-12-22 | 
| Last Update Date | 2011-05-20 |