| NPI | 1598012387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA12577) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ5875) |
| Enumeration Date | 2012-08-10 |
| Last Update Date | 2013-11-06 |