| NPI | 1760883490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 13102) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TN 4002) |
| Enumeration Date | 2014-09-12 |
| Last Update Date | 2014-09-12 |