| NPI | 1770877847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA11640) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ5395) |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2012-11-20 |