| NPI | 1538475009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA11916) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NE 1464) |
| Enumeration Date | 2010-08-23 |
| Last Update Date | 2013-03-22 |