| NPI | 1760810618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL 14048) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ6492) |
| Enumeration Date | 2013-10-30 |
| Last Update Date | 2015-08-31 |