| NPI | 1699907212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA5179) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 5221) |
| Enumeration Date | 2009-08-14 |
| Last Update Date | 2014-01-27 |