| NPI | 1639489115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA11391) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ5258) |
| Enumeration Date | 2010-10-18 |
| Last Update Date | 2012-04-24 |