| NPI | 1710003629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 7434) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IN 22005872A) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2015-12-08 |