| NPI | 1740328392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 9955) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 1213) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2012-01-12 |