| NPI | 1639338056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MS S3948) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 9467) |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2015-07-29 |