| NPI | 1629148549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: FL SA8633) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: FL SA8633) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2010-02-25 |