| NPI | 1568712073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 12462) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA 455277D) |
| 235Z00000X Speech-Language Pathologist, (Licence: OR 10366890) | |
| Enumeration Date | 2012-09-12 |
| Last Update Date | 2015-03-24 |