| NPI | 1639378136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 5012) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 11035) |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2014-09-06 |