| NPI | 1902206808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 13797) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PR 2050) |
| Enumeration Date | 2014-08-27 |
| Last Update Date | 2016-09-20 |