| NPI | 1649642554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA13950) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 11311) |
| Enumeration Date | 2015-10-30 |
| Last Update Date | 2015-10-30 |