| NPI | 1710130356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA12868) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL sz4669) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2014-07-13 |