| NPI | 1730598814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA14236) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 5405) |
| Enumeration Date | 2014-08-04 |
| Last Update Date | 2015-10-26 |