| NPI | 1699918748 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist,   (Licence: LA 597)  | 
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist,   (Licence: FL SA 2171)  | 
| Enumeration Date | 2009-04-18 | 
| Last Update Date | 2009-04-18 |