| NPI | 1861726309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA10607) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL Sz4900) |
| Enumeration Date | 2009-10-01 |
| Last Update Date | 2015-11-20 |