| NPI | 1619251659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA13380) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 11733) |
| Enumeration Date | 2011-10-10 |
| Last Update Date | 2016-11-03 |