| NPI | 1568865400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: FL SA11202) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: VA 2202006776) |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2014-10-07 |