| NPI | 1831580984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA14305) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL sz7038) |
| Enumeration Date | 2015-02-11 |
| Last Update Date | 2016-10-17 |