| NPI | 1750527602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA12884) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PR 1043) |
| Enumeration Date | 2008-12-24 |
| Last Update Date | 2015-02-03 |