| NPI | 1730476805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA11357) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ZZ SZ5235) |
| Enumeration Date | 2011-07-08 |
| Last Update Date | 2012-01-20 |