| NPI | 1821241175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ4657) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202006120) |
| Enumeration Date | 2008-10-30 |
| Last Update Date | 2011-07-17 |