| NPI | 1750636759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA12594) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 8591) |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2016-12-09 |