| NPI | 1730488891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA9696) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP007308) |
| Enumeration Date | 2011-03-15 |
| Last Update Date | 2012-07-05 |