| NPI | 1568809507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AL 836) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA5655) |
| Enumeration Date | 2013-05-31 |
| Last Update Date | 2013-05-31 |