| NPI | 1861755845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 12070) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ5721) |
| Enumeration Date | 2012-06-24 |
| Last Update Date | 2014-06-08 |