| NPI | 1790939353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 11094) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AR SP#2526) |
| Enumeration Date | 2008-11-10 |
| Last Update Date | 2017-02-08 |