| NPI | 1760887939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 0002472) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA12582) |
| Enumeration Date | 2014-10-29 |
| Last Update Date | 2016-07-25 |