| NPI | 1619294006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA11039) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL sz5164) |
| Enumeration Date | 2010-04-26 |
| Last Update Date | 2013-09-23 |