| NPI | 1760503445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: FL SA 3993) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL SA 3993) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2012-03-29 |