| NPI | 1588910715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: FL SZ5572) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: FL SA11784) |
| Enumeration Date | 2012-07-25 |
| Last Update Date | 2017-11-09 |