| NPI | 1639315773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA9767) |
| Additional Taxonomies | 261QH0700X Clinic/Center, Hearing and Speech (Licence: FL SA9767) |
| Enumeration Date | 2008-12-19 |
| Last Update Date | 2008-12-19 |