| NPI | 1811217508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 10710) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL003512L) |
| Enumeration Date | 2010-06-04 |
| Last Update Date | 2011-01-10 |