| 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 |