| NPI | 1639302144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 15040) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ7150) |
| 235Z00000X Speech-Language Pathologist, (Licence: PR 901) | |
| Enumeration Date | 2009-08-31 |
| Last Update Date | 2016-11-30 |