| NPI | 1790824746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 12324) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KS 2538) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2013-10-01 |