| NPI | 1639420706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA12456) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ5978) |
| Enumeration Date | 2012-09-28 |
| Last Update Date | 2013-09-05 |