| NPI | 1578882064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 11966) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 12776) |
| 235Z00000X Speech-Language Pathologist, (Licence: AL 3094) | |
| Enumeration Date | 2010-05-23 |
| Last Update Date | 2013-08-08 |