| NPI | 1578836375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PR 1066) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA14753) |
| Enumeration Date | 2012-02-10 |
| Last Update Date | 2016-07-22 |