| NPI | 1811321425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA13863) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202007333) |
| Enumeration Date | 2013-08-30 |
| Last Update Date | 2015-10-08 |